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Updated: May 11, 2026

Characterizing Modulators of Protease-Activated Receptors with a Calcium Mobilization Assay Using a Plate Reader
Published on: May 24, 2024
Proteolytic activation transforms heparin cofactor II into a host defense molecule.
Martina Kalle1, Praveen Papareddy, Gopinath Kasetty
1Division of Dermatology and Venereology, Department of Clinical Sciences, Lund University, SE-22184 Lund, Sweden.
Heparin cofactor II (HCII), a plasma protein, gains antimicrobial and endotoxin-binding abilities upon proteolytic cleavage. This transformation reveals a novel host defense role for HCII in innate immunity.
Area of Science:
- Biochemistry
- Immunology
- Molecular Biology
Background:
- Heparin cofactor II (HCII) is a serine proteinase inhibitor with a proposed role in inhibiting extravascular thrombin.
- The precise physiological function of HCII in the body has remained unclear.
Purpose of the Study:
- To investigate a previously unrecognized function of HCII in host defense mechanisms.
- To elucidate the molecular basis for HCII's potential role in immunity.
Main Methods:
- Inducing conformational changes in HCII through proteolytic cleavage.
- Mapping functional epitopes using peptide analysis.
- Assessing host defense in HCII-deficient mice challenged with Pseudomonas aeruginosa.
- Quantifying HCII levels in wild-type mice after bacterial or endotoxin challenge.
- Detecting cleaved HCII forms in human wound and bacterial samples.
Main Results:
- Proteolytic cleavage of HCII induced conformational changes, conferring endotoxin-binding and antimicrobial properties.
- HCII-deficient mice exhibited increased susceptibility to Pseudomonas aeruginosa infection and heightened cytokine responses.
- Wild-type animals showed reduced HCII levels following bacterial or endotoxin exposure.
- Proteolytically cleaved HCII was identified in human wound sites and associated with bacteria.
Conclusions:
- Protease-induced conformational changes in HCII uncover cryptic epitopes, transforming it into a host defense factor.
- This mechanism represents a novel regulatory pathway in HCII biology and innate immunity.
- HCII plays a significant role in combating invasive bacterial infections and modulating immune responses.
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